The SAGES University Masters Program Series

TheEditor-in-Chief:
SAGES Manual BrianofJacob
Hernia Surgery (2nd Edition) Davis

The SAGES Manual

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of Hernia Surgery

Second Edition

S. Scott Davis Jr.

Gregory Dakin
Andrew Bates
Editors

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 The SAGES Manual of Hernia Surgery (2nd Edition) Davis

The SAGES Manual of Hernia Surgery

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 The SAGES Manual of Hernia Surgery (2nd Edition) Davis
The SAGES University Masters Program Series
Editor-in-Chief: Brian Jacob

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 The SAGES Manual of Hernia Surgery (2nd Edition) Davis

S. Scott Davis Jr. • Gregory Dakin

Andrew Bates
Editors
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The SAGES Manual

of Hernia Surgery

Second Edition

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 The SAGES Manual of Hernia Surgery (2nd Edition) Davis
Editors
S. Scott Davis Jr. Gregory Dakin
Emory University Weill Med College At Cornell University
Atlanta, GA New York, NY
USA USA

www.yakibooki.com/download/the-sages-manual-of-hernia-surgery-2nd-
Andrew Bates
Stony Brook Surgical Associates
Centereach, NY
USA

ISBN 978-3-319-78410-6 ISBN 978-3-319-78411-3 (eBook)

https://doi.org/10.1007/978-3-319-78411-3

Library of Congress Control Number: 2018961396

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2019

This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and
transmission or information storage and retrieval, electronic adaptation, computer software, or by similar
or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
does not imply, even in the absence of a specific statement, that such names are exempt from the relevant
protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, express or implied, with respect to the material contained herein or for any errors
or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims
in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

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 The SAGES Manual of Hernia Surgery (2nd Edition) Davis

Contents

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1 SAGES University MASTERS PROGRAM: Hernia Pathway. . . . . . 1

Daniel B. Jones, Linda Schultz, and Brian Jacob
2 Laparoscopic Ventral Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Alisa M. Coker and Gina L. Adrales
3 Masters Program Hernia Pathway:
Laparoscopic Inguinal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Jacqueline Blank and Matthew I. Goldblatt
4 Hernia Materials: Fundamentals of Prosthetic Characteristics . . . . . 35
Corey R. Deeken and Spencer P. Lake
5 Permanent Prosthetics: Polypropylene, Polyester, ePTFE,
and Hybrid Mesh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Sean B. Orenstein
6 Biologic and Absorbable Prosthetic: When, Why,
and Where Are We Going. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Michael R. Arnold, Angela M. Kao, and Vedra A. Augenstein
7 Prosthetic Fixation Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Nathaniel Stoikes, David Webb, and Guy Voeller
8 How to Choose a Mesh in Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . 97
David Earle
9 Patient Comorbidities Complicating a Hernia Repair:
The Preoperative Workup and Postoperative Planning . . . . . . . . . . . 109
Desmond T. K. Huynh and Omar M. Ghanem
10 Enhanced Recovery in Abdominal Hernia Repair . . . . . . . . . . . . . . . 125
Andrew S. Wright and Rebecca P. Petersen
11 Computed Tomography and Gross Anatomy of the Abdominal
Wall (Including Planes for Mesh Hernia Repair) . . . . . . . . . . . . . . . . 143
Ryan M. Juza and Eric M. Pauli

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The SAGES Manual of Hernia Surgery (2nd Edition) Davis
12 Umbilical Hernia Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
T. J. Swope
13
Bridging Versus Closing the Defect During MIS Ventral
Hernia Repair: Pros and Cons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Morris E. Franklin Jr, Miguel A. Hernández,
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and Philip Mason Hamby
14 Robotic Technique for Intraperitoneal Onlay Mesh (IPOM) . . . . . . . 183
James G. Bittner IV, Michael P. Meara, and Natasha L. Clingempeel
15 Ventral, Incisional, and Atypical Hernias Using a Robotic
Transabdominal Preperitoneal Approach . . . . . . . . . . . . . . . . . . . . . . 193
Stephanie Bollenbach and Conrad Ballecer
16 Technique: Posterior Rectus Sheath Release . . . . . . . . . . . . . . . . . . . . 203
Samuel P. Carmichael II and J. Scott Roth
17 Ventral Abdominal Hernia Repair: Technique—External
Oblique Release . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Mark W. Clemens and Charles E. Butler
18 Technique: Transversus Abdominis Release. . . . . . . . . . . . . . . . . . . . . 237
Luis A. Martin-del-Campo and Yuri W. Novitsky
19 Robotic Transversus Abdominis Release: Tips and Tricks . . . . . . . . . 249
Jeremy A. Warren and Alfredo M. Carbonell
20 Ventral Abdominal Hernia Repair: MIS Extraperitoneal
Repair Techniques: eTEP Rives, MILOS/EMILOS,
and Onlay MIS Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
Flavio Malcher Martins de Oliveira, Leandro Totti Cavazzola,
Adam S. Weltz, and Igor Belyansky
21 Component Separation: Outcomes and Complications . . . . . . . . . . . 291
Maurice Y. Nahabedian
22 Botulinum Toxin in Abdominal Wall Hernia Repair . . . . . . . . . . . . . . 307
Talar Tejirian and Louise Yeung
23 Mesh Sutured Repairs of the Abdominal Wall . . . . . . . . . . . . . . . . . . 317
Gregory A. Dumanian and Steven T. Lanier
24 Treatment of Parastomal Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 333
Zachary Sanford, Adam S. Weltz, and Igor Belyansky
25 Challenging Hernias: Spigelian, Flank Hernias, Suprapubic,
and Subxiphoid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 343
Patrick Dolan and Gregory Dakin
26 Recurrent Ventral Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359
Charlotte Horne and Ajita Prabhu

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 Contents vii
The SAGES Manual of Hernia Surgery (2nd Edition) Davis
27 Loss of Abdominal Domain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373
Marco Alban Garcia
28 Fixation vs. No Fixation in MIS Inguinal Hernia Repair . . . . . . . . . . 391
Christopher Yheulon and S. Scott Davis Jr.

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29 Open Techniques: Mesh and Non-mesh Anatomical Repairs . . . . . . . 397
Andrew Bates and Salvatore Docimo Jr.
30 MIS Techniques: Lap TAPP and rTAPP . . . . . . . . . . . . . . . . . . . . . . . 415
Edmundo Inga-Zapata and Fernando García
31 MIS vs. Open Inguinal Hernia for Uncomplicated
Unilateral Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 429
Fadi Balla and Ankit D. Patel
32 TAPP vs. TEP vs. rTAPP: What Does the Evidence Show? . . . . . . . . 439
Alexandra Argiroff and Diego Camacho
33 Minimally Invasive Surgical Techniques
for Inguinal Hernia Repair: The Extended-View
Totally Extraperitoneal Approach (eTEP) . . . . . . . . . . . . . . . . . . . . . . 449
Jorge Daes
34 Inguinal Hernia Repair with Mini-laparoscopic Instruments . . . . . . 461
Gustavo Carvalho, Marcelo Loureiro, Miguel Nacul, Flavio
Malcher, Eduardo Moreno Paquentin, and Phillip Shadduck
35 The Cavernous Direct Inguinal Hernia. . . . . . . . . . . . . . . . . . . . . . . . . 483
Thomas Pomposelli, Grace Lassiter, and Omar Yusef Kudsi
36 Femoral Hernia and Other Hidden Hernias:
Options and Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 495
Shirin Towfigh
37 Strangulated Inguinal Hernia: Options and Strategies . . . . . . . . . . . . 503
Kara A. Vande Walle and Jacob A. Greenberg
38 Groin Pain Syndromes in Athletes: “Sports Hernia” . . . . . . . . . . . . . 515
Brian S. Zuckerbraun and Craig S. Mauro
39 Chronic Pain After Inguinal Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . 533
David K. Nguyen and David C. Chen
40 Intraoperative and Postoperative Complications
of MIS Inguinal Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 549
Paul Frydenlund and Archana Ramaswamy
41 Repair of Paraesophageal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 559
Abraham J. Matar and Edward Lin

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 viii Contents
The SAGES Manual of Hernia Surgery (2nd Edition) Davis
42 Repair of Congenital Diaphragm Hernias:
Morgagni and Bochdalek . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 573
P. Bennett Brock and S. Scott Davis Jr.
43
Revisional Paraesophageal Hernia:
Tips and Tricks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 583
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Rana M. Higgins and Jon C. Gould
44 Establishing a Hernia Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 595
Karla Bernardi and Mike K. Liang
45 Prevention of Abdominal Wall Hernias . . . . . . . . . . . . . . . . . . . . . . . . 611
Rajavi S. Parikh and William W. Hope
46 Hernias in the Pediatric Population . . . . . . . . . . . . . . . . . . . . . . . . . . . 621
Sophia Abdulhai and Todd A. Ponsky
47 Herniorrhaphy in Cirrhosis: Operative Approach and Timing . . . . . 637
Sara P. Myers, Shahid M. Malik, Amit D. Tevar,
and Matthew D. Neal
48 Concurrent Hernia Repair with Gynecologic
or Urologic Surgery? Pros and Cons. . . . . . . . . . . . . . . . . . . . . . . . . . . 657
Michael Choi and Cheguevara Afaneh
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 667

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 The SAGES Manual of Hernia Surgery (2nd Edition) Davis

Contributors

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Sophia Abdulhai, MD Division of Pediatric Surgery, Akron Children’s Hospital,

Akron, OH, USA
Gina L. Adrales, MD, MPH Division of Minimally Invasive Surgery, Department
of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA
Cheguevara Afaneh, MD Department of Surgery, Weill Cornell Medical College,
New York, NY, USA
Alexandra Argiroff, MD Department of Surgery, Minimally Invasive and
Laparoscopic General Surgery, Montefiore Medical Center, Bronx, NY, USA
Michael R. Arnold, MD Division of Gastrointestinal and Minimally Invasive
Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA
Vedra A. Augenstein, MD Division of Gastrointestinal and Minimally Invasive
Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA
Fadi Balla, MD Department of Surgery, Emory School of Medicine, Atlanta, GA,
USA
Conrad Ballecer, MD, FACS Department of General Surgery, Center for
Minimally Invasive and Robotic Surgery, Abrazo Arrowhead Hospital, Glendale,
AZ, USA
Andrew Bates, MD Division of Bariatric, Foregut, and Advanced GI Surgery,
Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA
Stonybrook Surgical Associates, Centereach, NY, USA
Igor Belyansky, MD, FACS Department of Surgery, Anne Arundel Medical
Center, Annapolis, MD, USA
Karla Bernardi, MD Department of General Surgery, McGovern Medical School,
University of Texas Health Science Center, Houston, TX, USA
James G. Bittner IV, MD Department of Surgery, Sentara RMH Medical Center,
Harrisonburg, VA, USA

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